Dengue viremia in blood donors identified by RNA and detection of dengue transfusion transmission during the 2007 dengue outbreak in Puerto Rico

被引:152
作者
Stramer, Susan L.
Linnen, Jeffrey M.
Carrick, James M.
Foster, Gregory A.
Krysztof, David E.
Zou, Shimian
Dodd, Roger Y.
Tirado-Marrero, Lourdes M.
Hunsperger, Elizabeth
Santiago, Gilberto A.
Munoz-Jordan, Jorge L.
Tomashek, Kay M.
机构
[1] Amer Red Cross, Sci Support Off, Gaithersburg, MD USA
[2] Gen Probe Inc, San Diego, CA USA
[3] Amer Red Cross, Holland Lab, Rockville, MD USA
[4] VA Caribbean Healthcare Syst, San Juan, PR USA
[5] CDC, San Juan, PR USA
关键词
TEXAS-MEXICO BORDER; HEMORRHAGIC-FEVER; NOSOCOMIAL TRANSMISSION; POTENTIAL THREAT; RISK-FACTORS; VIRUS; INFECTION; DONATIONS; PREVALENCE; ANTIBODIES;
D O I
10.1111/j.1537-2995.2012.03566.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND: In 2007, a total of 10,508 suspected dengue cases were reported in Puerto Rico. Blood donations were tested for dengue virus (DENV) RNA and recipients of RNA-positive donations traced to assess transfusion transmission. STUDY DESIGN AND METHODS: Blood donation samples from 2007 were maintained in a repository and tested individually for DENV RNA by transcription-mediated amplification (TMA); a subset was further tested by an enhanced TMA (eTMA) assay. TMA-reactive samples were considered confirmed if TMA (including eTMA) was repeat reactive (RR). All TMA-RR samples were tested by quantitative, DENV typespecific reverse transcriptasepolymerase chain reaction (RT-PCR) and for anti-DENV immunoglobulin (Ig)M by enzyme-linked immunosorbent assay. Samples positive by RT-PCR were further tested for infectivity in mosquito cell culture. Patients receiving components from TMA-RR donations were followed. RESULTS: Of 15,350 donation samples tested, 29 were TMA-RR for a prevalence of 1 per 529 (0.19%). DENV Types 1, 2, and 3 with viral titers of 105 to 109 copies/mL were detected by RT-PCR in 12 samples of which all were infectious in mosquito culture. Six TMA-RR samples were IgM positive. Three of the 29 recipients receiving TMA-RR donations were tested. One recipient in Puerto Rico transfused with red blood cells containing 108 copies/mL DENV-2 became febrile 3 days posttransfusion and developed dengue hemorrhagic fever. The recipient was DENV-2 RNA positive by RT-PCR; both the donor and the recipient viruses had identical envelope sequences. CONCLUSIONS: High rates of viremia were detected in blood donors in Puerto Rico coupled with the first documented transfusion transmission of severe dengue disease, suggesting that further research on interventions is needed.
引用
收藏
页码:1657 / 1666
页数:10
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